小儿结肠息肉的临床及病理分析

目的：研究小儿结肠息肉的临床及病理分析。方法：用Olympus PCF型成人纤维结肠镜进行观察。结果：发现小儿结肠息肉376枚。其中，幼年性息肉291枚（77．39％），腺瘤性息肉41枚（10．90％）＜6岁的患儿，幼年性息肉占100％，＞10岁的患儿，幼年性息肉占72％，1990年以后，多发性息肉的比例明显增加，由1990年以前的16％上升至36％。结论：我们主张进行全面的结肠镜检查，尤其对＞10岁的患儿，应对所存在的息肉进行活检并予以切除。

Clinical and pathological analysis of colic polyp in children

Objective: To analyse the clinical and pathological features of colic polyp in children. Methods: Observation was made with Olympus PCF adult fibrocolonoscope. Results: Totally 376 cases of colic polyps were observed. 291 cases were juvenile (77.39%) and 41 cases were adenomatous polyp (10.90%). The incidence of juvenile polyp was 100% among children younger than 6, and 72% in children above 10. The morbidity of multiple polyp increased from 16% to 30% since 1990. Conclusion: Comprehensive fibrocolonoscope examination is recommendable, especially for children above ten and the polyp should be examined with biopsy and resected.